Table 2 Moving Well peer coach arm schedule

1. Introduction to the Moving Well Program

1. Introduce the Moving Well program

2. Introduce the Patient Activated Learning System (PALS)

3. Discuss the rules and responsibilities of the program

4. Discuss daily exercises

• None

2. Total Knee Replacement, the Relationship Between Mood and Pain, and Daily Exercise

1. Discuss the impact of pain and stress on living a healthy life and the goals of the Moving Well program

2. Discuss the 3 Steps to achieve positive thinking that facilitate living a healthy life

3. Discuss the relationship between mood and pain

4. Discuss daily exercises

• What is osteoarthritis (OA)?

• What is a total knee replacement (TKR)?

• What is physical therapy?

• What are the benefits of exercise?

• What is the connection between pain and mood?

3. Negative Thoughts, Stress Reduction, and the Daily Exercise Program

1. Discuss negative thoughts and how to manage them

2. Practice stress reduction techniques

3. Discuss daily exercises

• What can I do about difficult emotions?

• What is guided imagery and how can it help me?

• How does mindfulness work?

• How can I reduce stress?

• Review the “Deep Breathing” exercise

• Review the “Muscle Relaxation” exercise

4. “Awfulizing”, Physical Activity, Stress, and Pain

1. Introduce “Awfulizing” or “Spiral of Doom”

2. Discuss relationship between physical activity, stress, and pain

3. Discuss daily exercises

• How can I exercise when I’m in pain?

• Does exercise help my pain from osteoarthritis (OA)?

5. Social Support and the Daily Exercise Program

1. Discuss social support and the importance of family and friends

2. Discuss daily exercises

• How can family and friends help me recover from total knee replacement (TKR)?

• How can I have a better recovery after total knee replacement (TKR)?

6. Keeping Up with the Moving Well Steps

1. Discuss monitoring of mood, pain, and exercises

2. Prepare for knee replacement

3. Discuss the study visit

4. Discuss daily exercises

• What can I do about muscle tension?

7. The Safe Use of Opioids and Physical Therapy After Surgery

1. Discuss how to use opioids responsibly

2. Understand the importance of physical therapy after surgery

3. Discuss daily exercises

• How long should I expect to take opioids after my total knee replacement (TKR)?

• How important is physical therapy after total knee replacement (TKR)?

• How long does it take to recover from total knee replacement (TKR)?

Surgery

8. Post-TKR Recovery and Planning for the Future

1. Discuss plans for knee replacement recovery

2. Discuss Moving Well plans for the rest of the program

• None

9. Post-TKR Recovery and Planning for the Future

1. Monitor progress with physical therapy

2. Discuss monitoring of pain, mood, and the 3 steps to achieve positive thinking

• None

10. Post-TKR Recovery and Planning for the Future

1. Monitor progress with physical therapy

2. Discuss monitoring of pain, mood, and the 3 steps to achieve positive thinking

• None

11. Post-TKR Recovery and Planning for the Future

1. Monitor progress with physical therapy

2. Discuss monitoring of pain, mood, and the 3 steps to achieve positive thinking

• None

12. Post-TKR Recovery, Questions, and Closure

1. Monitor progress with physical therapy

2. Discuss monitoring of pain, mood, and the 3 steps to achieve positive thinking

3. Close off the Moving Well program and discuss your next steps

• None